UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan)

A healthy mom is more likely to have a healthy baby. Pregnancy is an important time for women to take good care of themselves and their unborn baby. We have a special program for pregnant members.

If you have asthma, diabetes or another chronic condition, you can depend on us. Our plan helps you get the care, support and services you may need. Benefits include:

• Mental Health and Substance Abuse Services. Counseling and other treatments are covered.
• Care Management. Personal support from an experienced professional.
• Asthma and COPD Care. Exams, testing and supplies are covered for asthma and other lung diseases.
• Kidney Disease Care. Dialysis, medicine and treatments are covered.

We help members keep their vision, smile and hearing in the best shape possible. Benefits include:

• Vision. Eye exams are covered every year for members age 21-59.
• Dental. We pay for an exam every six months for members over the age of 21.
• Hearing. Tests, checkups and hearing aids, if needed, are provided.

You get the medical care and equipment you may need to live safely at home. Benefits include:

• Equipment and Supplies. In-home medical and safety equipment are covered.
• Care Coordinator. Someone to get you the services after surgery or illness.
• Home Health Care. Medical and personal care in your home, if needed.

Sometimes members need a little extra help using their health plan. For those times, they can rely on:

• Transportation. We provide non-emergency transportation to covered health care services.
• Member Services. Someone to help you get the most from your plan. Member Services has access to Aunt Bertha database to help members connect to community services.
• Language Help. Connect to a translator through Member Services.

Caregivers also benefit, knowing their loved one is well cared for and safe during the day.

If your need for long‑term care has been determined by Ohio Medicaid, Adult day care can provide:

• Social connections and friendship.
• Meals.

Some members may have trouble managing asthma or COPD symptoms. For them, a nurse who specializes in breathing issues can really help. They get a customized treatment plan and medicine to help you:

• Manage flare-ups.
• Reduce symptoms.
• Help you stay active.

Members get a get a Personal Care Manager. The care manager is there for you throughout your medical journey. He or she will:

• Work with you to develop a plan of care that meets your individual needs.
• Coordinate with family members, caregivers and health care providers.
• Help get additional services or support you may need.

Our plan includes visits for chiropractic care. Whether chiropractor services are your primary or alternative treatment method, you're covered.

Members of all ages can get up to 15 visits per year. Members under 21 may get additional visits with prior authorization.

You get a primary care physician (PCP), who is your main doctor. If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.

Your PCP is your main doctor for:

• Preventive care.
• Treatment if you are sick or injured.
• Referrals to specialists for certain conditions.

Regular exams help keep teeth and gums strong and healthy. Oral exams are covered once per year for members over age 21.

Our plan covers some medical equipment ordered by a member's doctor or case manager. This can include supplies like:

• Walkers
• Wheelchairs
• Hospital beds

Our podiatry coverage includes:

• Routine foot exams.
• Tips about foot care and choosing the right shoes.
• Therapeutic shoes and inserts for members with diabetes.

Our plan covers:

• Exams, therapy and tests.
• Hearing aids, batteries, and accessories.

If you are living with a long-term health condition, disability or leaving the hospital after surgery or a serious illness, you may need extra support. This can include help with day-to-day tasks like cleaning, cooking or dressing. You may even need an in-home medical visit to check on how well you are healing.

With approval, our plan may cover:

• An in-home medical visit.
• Medical equipment like hospital beds, walkers or wheelchairs.
• A home health aide, nursing services or a private nurse.
• Physical, occupational, and speech therapy.
• Help with personal care or housekeeping.
• Home infusion therapy.

Our plan covers these services and more:

• Nursing care.
• Room and board.
• Supplies and equipment.
• Treatment and therapies.
• Diagnostic tests and exams.

And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing at home.

You and your doctor need to understand each other. We can explain information in English or in your primary language. If you are visually or hearing impaired, special help can be provided.

Kidney disease is a serious medical condition. After the kidneys stop working regular treatments, called renal dialysis, or an organ transplant are needed to live. Dialysis uses a machine to clean the blood just like healthy kidneys do.

Our services may include:

• Dialysis.
• Needed equipment and supplies.
• Home support services.
• Health education and training.

Our plan includes prescription drugs and refills for prescriptions written by your doctor or specialist. Thousands of drugs are covered.

You pay a co-pay amount, if needed, and you can get your prescription drugs at any in-network pharmacy.

Every member of the health plan gets a personal Members Services representative. This person can help you get the most of your benefits. They can:

• Welcome you to the plan and help you understand your benefits.
• Arrange for extra support services.
• Complete a health risk assessment.
• Help you access community services.

• Therapy
• Counseling
• Medications

Medical questions and situations come at inconvenient times. When you have questions about your health, you can call a nurse 24 hours a day, 7 days a week.

Our nurses will:

• Listen to symptoms.
• Help with self-care.
• Advise you about getting care at a doctor visit or an urgent care center.
• Help you know when to go to the emergency room.

Obesity is common and serious. It can also lead to other health problems. To help our members be their best, our plan includes:

• Screening for obesity.
• Counseling for obesity.

Most people know the bad health effects of smoking. And they know they need to quit. We support our members with coaching while they quit.

Therapy can help you recover from a serious injury or illness, or simply reach your full potential. Members receive needed:

• Occupational therapy.
• Physical therapy.
• Respiratory therapy.
• Speech therapy.

You may have an injury or sudden illness that is not life-threatening but needs immediate attention. So our plan covers care at:

• Urgent care centers.
• Federally qualified health centers.
• Other walk-in clinics.

Eye exams are covered every year for members age 21-59.